种族,种族,邻居差异和息护理利用:回顾性队列研究
Karen S Moore1, Alison Colbert2, Rick Zoucha3
1Saint Louis University, St. Louis, MO, USA.
The American journal of hospice & palliative care
|July 9, 2025
概括
西班牙裔和非西班牙裔黑人患者比非西班牙裔白人患者更有可能被提供息治疗 (PC),并且更有可能接受它. 然而,只有不到40%的符合条件的患者获得了PC服务.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
- 抚慰性护理是一种缓解性护理.
背景情况:
- 从历史上看,西班牙裔和非西班牙裔黑人 (NHB) 群体的息治疗 (PC) 使用率相比非西班牙裔白人 (NHW) 个体要低.
- 社区和社会因素可能导致疾病负担和PC使用的差异.
研究的目的:
- 调查种族,种族和邻居不利因素对PC使用的综合影响.
- 检查不同种族和种族群体的PC供应和接受率.
主要方法:
- 使用已故成人患者的电子健康记录进行回顾性队列研究.
- 纳入标准:在2009-2022年期间因癌症,心血管或脑血管疾病住院的NHB,西班牙裔或NHW成年人,在12个月内死亡.
- 分析与PC供应和接受相关的因素.
主要成果:
- 与NHW患者相比,NHB (OR=1.36) 和西班牙裔 (OR=1.17) 患者提供PC的可能性并不低.
- 较高的并发性得分,脑血管疾病和不复苏 (DNR) 订单与PC供应的增加有关.
- NHB (OR=1.37) 和西班牙裔 (OR=1.40) 患者比NHW患者更有可能接受PC.
- 只有不到40%的符合条件的患者接受了PC,超过70%的患者接受了PC.
结论:
- 与历史趋势相反,NHB和西班牙裔个人不太可能被提供PC,而且更有可能接受它.
- 整体PC供应率较低表明使用率不足,特别是在使用寿命结束之前.
- 个人电脑的使用似乎集中在终生阶段,由与更高的并发病率和DNR状态相关的相关性表明.
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